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Demographic and etiologic characteristics of children with traumatic serious hyphema

Fatih Mehmet Türkcü1, Harun Yüksel, Alparslan Sahin

  • 1Department of Ophthalmology, Dicle University Faculty of Medicine, Diyarbakır, Turkey. turkcufm@gmail.com

Ulusal Travma Ve Acil Cerrahi Dergisi = Turkish Journal of Trauma & Emergency Surgery : TJTES
|July 26, 2013
PubMed

Insights

Severe childhood hyphema from blunt eye trauma requires prompt treatment. Early intervention and close monitoring are crucial to prevent complications and preserve visual acuity (VA).

Area of Science:

  • Ophthalmology
  • Pediatric Trauma
  • Eye Injury Research

Background:

  • Serious hyphema in children often results from blunt ocular trauma.
  • Understanding etiologic factors and complications is vital for effective management.

Purpose of the Study:

  • To evaluate causes, complications, and treatment outcomes of severe hyphema in children.
  • To compare visual prognosis in different grades of hyphema.

Main Methods:

  • Retrospective analysis of 136 pediatric patients with grade 3 or 4 hyphema.
  • Evaluation of visual acuity, complications, and treatment strategies.
  • Comparison of factors influencing visual prognosis between hyphema grades.

Main Results:

  • Blunt trauma causes included stones (39%) and bead bullets (18.4%).
  • Common complications were traumatic mydriasis (19.1%), cataract (9.6%), and glaucoma (5.1%).
  • Medical treatment succeeded in 83.8%; surgery was needed for 16.2%. Grade 4 hyphema had poorer visual outcomes.

Conclusions:

  • Additional ocular pathologies worsen visual prognosis in severe hyphema.
  • Prompt treatment and diligent follow-up are essential to mitigate complications and improve visual outcomes in pediatric hyphema patients.
Abstract

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